Credentialing & Enrollment

Provider document verification for credentialing

Licenses, certifications and history checked at the source before any application goes out.

A physician reviewing and signing a credentialing document
The problem

Credentialing applications come back because a license number was mistyped, a DEA registration had expired or a gap in work history was never explained. Each return restarts the payer's clock, and some problems are only noticed after they have delayed every payer at once.

What RevCureHealth does

We check each provider's documents against the issuing source - state licenses, DEA and CDS registrations, board certification, education and training, malpractice insurance and claims history, work history and exclusion lists - record the date and source of every verification, and track expiry dates so nothing lapses between cycles.

Workflow
Step 1
Collect documents
Step 2
Verify at the source
Step 3
Explain gaps
Step 4
Record results
Step 5
Track expiries
What you get
  • Errors found before a payer finds them
  • Every verification logged with its source and date
  • Expiring licenses and certificates flagged ahead of time
  • A clean, complete file ready for any payer
What you see

Nothing happens that you can’t see

Every service reports into the same dashboard, so the work and the result are in one place.

Executive Dashboard
Illustrative example
Total charges
$486,200
▲ 6.1%
Collections
$412,850
▲ 12.4%
Clean claim rate
96.8%
▲ 1.9 pts
Denial rate
7.1%
▲ 2.9 pts
Days in A/R
31
▼ 4 days
Revenue at risk
$42,800
18 accounts

Figures shown describe an example practice. They are not client results.

How much is Provider Document Verification costing you today?

The free assessment quantifies it, using your own claims, denials and A/R data.

  • No obligation, and you keep the findings either way
  • Under two minutes to request
  • No patient information needed to start
Get Your Free RCM Assessment